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Poor diet or lack of vitamins in the diet

NAD + is a vital coenzyme in fuel metabolism and the transformation of carbohydrate into lipid ( + utilization indicates that elevated NNMT expression may inhibit energy expenditure and promote fat deposition by limiting NAD + -dependent processes (Trammell and Brenner, 2015)

Pregnant or breastfeeding patients should discuss with their obstetric provider before starting this injection, and ensure all healthcare team members are aware, so that vitamin levels and any pregnancy-related effects can be monitored appropriately

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